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Job Description: HEDIS Abstractor (RHIA / Coder) HEDIS Abstractor (RHIA / Coder) Location: Iselin, NJ Salary:  Experience: 1. year(s) Job Type: Temporary / Consulting Job ID: U1016591       About the Opportunity A New Jersey-based healthcare company is looking to fill an immediate need with the addition of a new HEDIS Abstractor (RHIA / Coder) to their growing staff. In this role, the HEDIS Abstractor (RHIA / Coder) will be responsible for determining appropriate codes for medical services and procedures to ensure accurate adjudication of claims as well as working with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data base. Apply today! Company Description Healthcare Company Job Description The HEDIS Abstractor (RHIA / Coder) will be responsible for: Reviewing operative notes and various forms and medical records to identify proper coding of claims Providing training and guidance to service operations staff to ensure accurate claims adjudication and explanation of benefits Reviewing denied claims and advises service staff regarding appeals Maintaining current knowledge of coding and keeps current with medical compliance and reimbursement policies impacting claims payment Required Skills 1+ year of related work experience High School Diploma / GED Certified Professional Coder (CPC) with designation from an accredited source such as American Health Information Management Association, American Academy of Professional Coders, or Practice Management Institute Understanding of codes for services based on diagnosis and procedure Working knowledge of Medical Records Microsoft Office/Suite proficient (Excel, Outlook, Word, etc.) Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Associate's and/or Bachelor's Degree in a related field Prior HEDIS experience RHIA certification

Job Description: HEDIS Abstractor (RHIA / Coder) HEDIS Abstractor (RHIA / Coder) Location: Iselin, NJ Salary:  Experience: 1. year(s) Job Type: Temporary / Consulting Job ID: U1014179       About the Opportunity A healthcare company in New Jersey is looking to fill an immediate need with the addition of a new HEDIS Abstractor (RHIA / Coder) to their growing staff. In this role, the HEDIS Abstractor (RHIA / Coder) will be responsible for determining appropriate codes for medical services and procedures to ensure accurate adjudication of claims as well as working with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data base. Apply today! Company Description Healthcare Company Job Description The HEDIS Abstractor (RHIA / Coder) will be responsible for: Reviewing operative notes and various forms and medical records to identify proper coding of claims Providing training and guidance to service operations staff to ensure accurate claims adjudication and explanation of benefits Reviewing denied claims and advises service staff regarding appeals Maintaining current knowledge of coding and keeps current with medical compliance and reimbursement policies impacting claims payment Required Skills 1+ year of related work experience High School Diploma / GED Certified Professional Coder (CPC) with designation from an accredited source such as American Health Information Management Association, American Academy of Professional Coders, or Practice Management Institute Understanding of codes for services based on diagnosis and procedure Working knowledge of Medical Records Microsoft Office/Suite proficient (Excel, Outlook, Word, etc.) Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Associate's and/or Bachelor's Degree in a related field Prior HEDIS experience RHIA certification

Job Description: Chief Information Officer (CIO) Chief Information Officer (CIO) Location: White Plains, NY Salary: $130,000-$160,000 Experience: 10.0 year(s) Job Type: Full-Time Job ID: J137604       About the Opportunity An established home healthcare agency located in White Plains, NY is seeking a self-motivated and experienced professional for a promising opportunity on their staff as Chief Information Officer (CIO). In this role, the CIO will provide technology vision and leadership for developing and implementing information technology initiatives that improve cost effectiveness, home care service quality, and business development in a constantly changing, competitive marketplace. Additionally, the CIO will lead the home care network in planning and implementing information systems to support both distributed and centralized clinical and business operations and achieve more cost beneficial IT operations. Apply today! Company Description Home Healthcare Agency Job Description The Chief Information Officer (CIO) will: Participate proactively with members of senior management in developing and executing strategic plans Participate in policy and decision-making regarding resource allocation and future direction and control of proposed information systems Ensure that Company systems are current with the information systems standards set by Joint Commission Ensure that Company information systems operate according to internal standards, external accrediting agency standards and legal requirements Evaluate the performance of personnel in the IT Department Provide advice on evaluation, selection, implementation and maintenance of information systems, ensuring appropriate investment in strategic and operational systems Review all voice and data invoices for accuracy and cost effectiveness Required Skills Bachelor's Degree in Computer Science, MIS or equivalent 10+ years of progressive experience in managing functions and departments dealing with information handling, work flow and systems 4+ years of experience with LAN/WAN technologies, including multiple network operating systems and protocols Demonstrated analytical, written and verbal communication skills Superior strategic planning skills Strong leadership skills Ability to work well under pressure Desired Skills Master's degree in Health/Hospital Administration, Public Health, or Business Administration, or related field, or evidence of substantial business knowledge

Job Description: Quality Information Specialist Quality Information Specialist Location: Cocoa Beach, FL Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1015295       About the Opportunity An established managed care company located in Cocoa Beach, FL is actively seeking a diligent and patient-oriented Nurse to join their staff as a Quality Information Specialist. In this role, the Quality Information Specialist establishes and fosters a healthy working relationship between large physician practices, IPAs and the company. Apply today! Company Description Managed Care Company Job Description The Quality Information Specialist: Advises and educates large Provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with NCQA requirements Collects, summarizes and trends provider performance data to identify and strategize opportunities for provider improvement Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters) Delivers provider specific metrics and coach providers on gap closing opportunities Develops, enhances and maintains provider clinical relationship across product lines Leads and/or supports collaborative business partnerships, elicit client understanding and insight to advise and make recommendations Partners with physicians/physician staff to find ways to explore new ways to encourage member clinical participation in wellness and education Captures concerns and issues in action plans as agreed upon by provider Documents action plans and details of visits and outcomes and reports critical incidents and information regarding quality of care issues Required Skills Bachelor's Degree in Nursing  or equivalent work experience of 3+ years directly related HEDIS record collection with analytical review/evaluation and/or Quality Improvement 2+ years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in data and chart reviews to provide consultation and education to providers and provider staff 1+ year of experience in Managed Care experience Active Registered or Practical Nurse license; or Acute Care Nurse Practitioner license Demonstrated interpersonal/verbal communication skills Knowledge of medical terminology and/or experience with CPT and ICD-9 coding Proficient in Microsoft Office Knowledge of healthcare delivery Understanding of data analysis and continuous quality improvement process Desired Skills Health Care Quality and Management Certified Healthcare Professional Certified Professional in Healthcare Quality

Job Description: Mental Health Psych Assistant Mental Health Psych Assistant Location: Worcester, MA Salary:  Experience: 2. year(s) Job Type: Temporary / Consulting Job ID: U1015801       About the Opportunity A hospital in Massachusetts is looking to fill an immediate need with the addition of a new Mental Health Psych Assistant to their staff. Working with individuals and groups, the Mental Health Psych Assistant will be responsible for helping individuals deal with: addictions and substance abuse; family, parenting, and marital problems; suicide; stress management; problems with self-esteem; and, issues associated with aging and mental and emotional health. Apply today! Company Description Hospital Job Description The Mental Health Psych Assistant will: Maintain confidentiality of records relating to clients' treatment Encourage clients to express their feelings and discuss what is happening in their lives; help them to develop insight into themselves and their relationships Guide clients in the development of skills and strategies for dealing with their problems Prepare and maintain all required treatment records and reports Counsel clients and patients, individually and in group sessions, to assist in overcoming dependencies, adjusting to life, and making changes Collect information about clients through interviews, observation, and tests Develop individualized treatment plans; lead individual or group therapy sessions; run preventative mental wellness classes or workshops; and, make treatment referrals Required Skills 2+ year of Psych related experience Associate's Degree in a related field Current Basic Life Support (BLS) or Heart Savior certification Previous experience working with the Mental Health population Working knowledge of Medical terminology Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Bachelor's Degree in a related field Computer savvy

Job Description: Health Educator (RN) Health Educator (RN) Location: New York, NY Salary: $80,000-$90,000 Experience: 2. year(s) Job Type: Full-Time Job ID: J136964       About the Opportunity A healthcare services company in New York City is currently seeking a licensed Registered Nurse (RN) for a promising Health Educator position with their growing staff. Collaborating with Care Managers and other involved Health Care professionals, the Health Educator (RN) will be responsible for developing, planning and educating select members telephonically regarding their overall wellness / preventive care and chronic care. Apply today! Company Description Healthcare Services Company Job Description The Health Educator (RN) will be responsible for: Assisting in informed decision making about overall health and life style Developing educational modules and providing in-service for staff on disease states Clinical oversight of Diabetes Disease Management Team Contributing to team performance appraisals Required Skills 2+ years of experience as a Health Educator or Health Coach Bachelor's Degree in Nursing NYS Registered Nurse (RN) license Demonstrated knowledge of basic Health and Nationally recognized standards of care guidelines for Wellness and Chronic Disease Management Previous experience in a Managed Care setting Solid assessment and teaching skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Certification as a Diabetes Educator (C.D.E)

Job Description: Health Services Assistant Health Services Assistant Location: New York, NY Salary:  Experience: 0. year(s) Job Type: Temporary / Consulting Job ID: U1001501       About the Opportunity A social services agency in New York City is currently seeking a versatile and hardworking professional for a promising Health Services Assistant position with their growing staff. Reporting to the Program Care Manager, the Health Services Assistant will be responsible for providing support, both clerical and practical,  to the Health Services Department. Company Description Social Services Agency Job Description The Health Services Assistant will: Support the day-to-day operation of the department Aid in the gathering of health-related data for records Assist the Program Care Manager in the establishment of a medical home for children through maintenance of care records Make medical appointments for youth when necessary Perform clerical duties for the department including but not limited to: filing, maintaining medical records, computer operation, telephone coverage and photocopying Order office supplies and equipment with approval of the Program Care Manager Assist in gathering data and compiling statistical information for the Health Services Director and Program Care Manager Escort children and caregivers to and from medical appointments Administer medications to participants as needed after completing any necessary training Support the Missouri model of Group Living. Support the use of Sanctuary Model tools such as safety plans, community meetings and self-care in the department/program to create a non-violent and trauma-sensitive culture Required Skills High School Diploma or GED Computer savvy Microsoft Office/Suite proficient Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills 3+ years of experience as an Office Assistant

Job Description: Case Manager Case Manager Location: Staten Island, NY Salary:  Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1008254       About the Opportunity A social services organization on Staten Island is looking to fill an immediate need with the addition of a new Case Manager to their growing staff. Reporting to the Senior Case Manager, the Case Manager will be responsible for providing in-home and on-site case management services to promote healthy lifestyle and positive behavior changes. Apply today! Company Description Social Services Organization Job Description The Case Manager: Oversees housing units and provides case management services to tenants within the program Completes intakes, along with pre/post placement assessments and re-assessments, as required Develops service plans in conjunction with team members and tenants Meets weekly with tenants, working to develop independent living, apartment management and neighbor relation skills Assists tenants in accessing nutritious food, as well as in obtaining and maintaining entitlements and vocational training and services and job placement, as possible Provides ongoing coordination with primary care physicians, mental health and other providers Responds to tenants' requests for information and referrals Completes required documentation on a timely basis Meets with supervisor on a weekly basis for supervision Required Skills 1+ year of Case Management experience Bachelor's Degree in a related field Previous experience working with the Homeless population Social Services background Solid assessment and documentation skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively

Job Description: Care Manager (RN) Care Manager (RN) Location: Newark, NJ Salary:  Experience: 2. year(s) Job Type: Temporary / Consulting Job ID: U1015238       About the Opportunity A healthcare company in New Jersey has a promising Care Manager position awaiting a licensed Registered Nurse (RN) with their growing staff. In this role, the Care Manager (RN) will be responsible for coordinating the care and services of Long Term Care members across the continuum of illness,promoting effective utilization, and monitoring health care resources. Apply today! Company Description Healthcare Company Job Description The Care Manager (RN) will be responsible for: Managing 75 to 100 active cases based on case intensity and acuity Utilization Management and using prescribed criteria to provide timely appropriate and medically necessary service authorizations Assessing the options for care, including use of benefits and community resources in order to update the Person Centered Service Care Plan Acting as a liaison and member advocate between the member / Family Physician and facilities / agencies Maintaining accurate records of care management activities in the EMMA system using clinical guidelines Coordinating community resources with emphasis on medical behavioral and social services Applying care management standards and maintains HIPAA standards and confidentiality of protected health information Reporting critical incidents and information regarding quality of care issues Ensuring compliance with all State and Federal regulations and guidelines in day-to-day activities Participating in monthly chart audits Required Skills 2+ years of experience in a Clinical Acute Care position; 1+ year of experience in Care / Case Management Associate's Degree in Nursing NJ Registered Nurse (RN) license Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Bachelor's Degree in Health Services and/or Nursing Certified Case Manager (CCM) Previous experience in a Home Health, Physician's Office, and/or Public Health setting Bilingual

Job Description: Senior Account Manager Senior Account Manager Location: New York, NY Salary: $90,000-$110,000 Experience: 5.0 year(s) Job Type: Full-Time Job ID: J137189       About the Opportunity A premier regional health information organization (RHIO) is actively seeking a self-motivated and dynamic individual for a promising opportunity on their staff as a Senior Account Manager. In this role, the Senior Account Manager will be responsible for all participant account activities including activity management, outreach and training, selling new services, and consent management. Apply today! Company Description Regional Health Information Organization Job Description The Senior Account Manager will be responsible for: Utilization of the organization's platform Developing areas of consent acquisition and strategies to drive consent Oversight of user management and training Acting as a central point of contact for all corporate information Required Skills Bachelor's Degree 5 years of total professional experience 2+ years of related experience including account management of hospitals, nursing homes, and/or large providers Knowledge of MS Office and Salesforce.com Understand and capitalize on the uniqueness of a C-level meeting, a technology meeting, and a business level meeting Able to provide software demonstrations while focusing on the value and benefits to the member organization Able to manage account management and sales meetings with mid-sized audiences Strong analytical and interpersonal communication skills including process, writing, problem solving, customer relationship, organizational and conflict resolution

Job Description: Medical Management Specialist Medical Management Specialist Location: Iselin, NJ Salary: $20-$21 per hour Experience: 1. year(s) Job Type: Temporary / Consulting Job ID: U1010301       About the Opportunity A health insurance company in New Jersey is looking to fill an immediate need with the addition of a new Medical Management Specialist to their staff. 08830In this role, the Medical Management Specialist will be responsible for providing nonclinical support to the Medical Management and/or Operations areas. Apply today! Company Description Health Insurance Company Job Description The Medical Management Specialist: Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review) Provides information regarding network providers or general program information when requested Reviews and assists with complex case Acts as liaison between Medical Management and/or Operations and Internal Departments Required Skills 1+ year of experience with an understanding of Managed Care or Medicare High School Diploma Microsoft Office/Suite proficient (Excel, Outlook, Word, etc.) Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills Previous experience in Macess, Facets or Care Compass Familiarity with Medical terminology

Job Description: Case Management Nurse Manager (RN) Case Management Nurse Manager (RN) Location: New York, NY Salary: $81,000-$86,000 Experience: 0.0 year(s) Job Type: Full-Time Job ID: J130854       About the Opportunity A New York City healthcare organization is currently seeking a licensed Registered Nurse (RN), with a strong Case Management background, for a promising Managerial position with their growing staff. In this role, the Case Management Nurse Manager (RN) will be responsible for effectively managing the daily operations / workflow and supervising clinical and non-clinical staff to provide support for the organization's Care Management programs. Company Description Healthcare Organization Job Description The Case Management Nurse Manager (RN) will be responsible for: Assisting in developing strategic plan by partnering with Assistant Director and Fund management to identify opportunities that have direct impact on clinical and financial outcomes Accessing and analyzing all processes on an ongoing basis to determine their effectiveness, eliminate inefficiencies and make recommendations to senior management to improve workflow, operations, and staff performance Coordinating activities between clinical programs, communication, and report requirements to maintain operational efficiencies and to be in compliance with the Department of Labor (DOL), Summary Plan Description (SPD) departmental protocols and clinical policies and procedures Interacting and collaborating with other departments (e.g. Claims and Provider Relations) in troubleshooting, problem solving, and exchanging information in conjunction with maintaining effective communication with providers and members Staff development, clinical orientation, ongoing education, and training programs to meet the changing needs of the Department Continually assessing clinical staff performance against internal and external departmental and industry standards Required Skills 5+ years of Advanced or Specialized work experience in Care Management programs (Utilization / Case Management / Appeals Programs) within a Managed Care organization; 2+ years of progressive Leadership and Management experience Bachelor’s Degree in Nursing, Business or Health Care Administration or equivalent years of work experience required; plus Current NYS Registered Nurse (RN) license Working knowledge of Milliman / InterQual guidelines or other regulatory protocols (i.e. Medicare), claims processing, medical coding (ICD-9, HCPCS, CPT) and interpreting provider contracts Strong Medical / Clinical background Microsoft Office/Suite proficient Solid critical thinking and analytical skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized $ Desired Skills Previous management experience and CCM certification

Job Description: Care Manager (RN) - Dementia Care Manager (RN) - Dementia Location: New York, NY Salary: $85,000-$88,000 Experience: 2. year(s) Job Type: Full-Time Job ID: J136848       About the Opportunity A New York City-based nonprofit healthcare agency is currently seeking a licensed Registered Nurse (RN), with a background working with patients dealing with Dementia, for a promising Care Manager position with their growing Care Management Team. In this role, the Care Manager (RN) will be responsible for participating in assessing and evaluating the clinical needs of members and working with the member and the rest of the team in planning and implementing care that addresses their care needs. Apply today! Company Description Nonprofit Healthcare Agency Job Description The Care Manager (RN) will be responsible for: Conducting visits and assess member’s status and needs Conducting a history & physical assessment and review member’s interim service plan and intake assessment information Making and receiving referrals related to assigned members, as appropriate Monitoring utilization of all services and developing criteria, as appropriate Coordinating with other team members and the member a comprehensive care plan that identifies all needs Coordinating all services with the Primary Physician and other key providers Assisting with discharge planning, as appropriate Conducting other clinical assessments as appropriate, including environmental / safety assessment Conducting risk assessments and implements preventive and health maintenance education to members and caregivers Coordinating Patient-centered outcomes, including: mortality; quality of life; disease-specific health outcomes; avoidance of nursing home placement; and, patient satisfaction with care Required Skills 2+ years of Care and/or Case Management experience Bachelor's Degree in Nursing NYS Registered Nurse (RN) license Experience working with the Geriatric population and patients dealing with Dementia Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Bilingual (English and Spanish) Previous experience working with Disability and/or Rehabilitation Programs Public Health, Community-based or Home Care background

Job Description: Clinical Pharmacist - Managed Care Clinical Pharmacist - Managed Care Location: Garden City, NY Salary: $100,000-$130,000 Experience: 3.0 year(s) Job Type: Full-Time Job ID: J137048       About the Opportunity A rapidly growing medical services company headquartered in Garden City, NY is actively seeking a driven and organized healthcare professional to join their staff as a Clinical Pharmacist in their Managed Care Department. In his role, the Managed Care Clinical Pharmacist will be responsible for assessment of medications for high-risk members enrolled in case management and patients with recurrent hospital admissions, with an emphasis on managing chronic illnesses as well as disease prevention. Company Description Medical Services Company Job Description The Managed Care Clinical Pharmacist will: Interface with available resources and identify drug interactions and inappropriate medication management Develop pharmacy adherence and HEDIS programs to outreach to members in order to positively affect their health outcomes Perform other tasks as necessary Required Skills Pharmacy Degree Active Registered Pharmacist certification 3+ years of managed care, pharmaceutical, or medical education experience Quality / Care management experience Drug Information knowledge Ability to multitask Strong attention to detail

Job Description: Managed Care Coordinator Managed Care Coordinator Location: Ewing, NJ Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1005418       About the Opportunity A widely recognized healthcare organization located in Ewing, NJ is actively seeking a self-motivated and dynamic professional for a promising opportunity on their staff as a Managed Care Coordinator. In this role, the Managed Care Coordinator supports the Health Services and Utilization Management functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators. Company Description Healthcare Organization Job Description The Managed Care Coordinator: Performs review of service requests for completeness of information, collection and transfer of non-clinical data, and acquisition of structured clinical data from physicians/patients Handles initial screening for pre-certification requests from physicians/members Prepare, document and route cases in appropriate system for clinical review Initiates call backs and correspondence to members and providers to coordinate and clarify benefits Upon completion of inquiries initiate call back or correspondence to Physicians/Members to coordinate/clarify case completion Reviews professional medical/claim policy related issues or claims in pending status Upon collection of clinical and non-clinical information, authorize services based upon scripts or algorithms used for pre-review screening Perform other relevant tasks as assigned by Management Required Skills High School Diploma Strong medical skills and knowledge Proficient in Microsoft Office Excellent written and verbal communication skills Ability to make sound decisions under the direction of Supervisor Strong analytical skills Demonstrated interpersonal skills Team-oriented Desired Skills 1-2 years of experience in a customer service or medical support-related position Knowledge of contracts, enrollment, billing and claims coding/processing Knowledge of Managed Care principles Ability to analyze and resolve problems with minimal supervision Ability to use a personal computer and applicable software and systems

Job Description: Small Group Program Manager Small Group Program Manager Location: Parsippany, NJ Salary: $100,000-$100,000 Experience: 4.0 year(s) Job Type: Full-Time Job ID: J135861       About the Opportunity An established health services company headquartered in Parsippany, NJ is actively seeking a driven and highly organized individual for a rewarding opportunity on their staff as a Small Group Program Manager. In this role, the Small Group Program Manager will be responsible for the facilitation and management of the company's small group business program,  including sales and retention of business in New Jersey. Company Description Health Services Company Job Description The Small Group Business Manager: Identifies, engages, manages, cultivates and develops new and existing brokers, consultants and general agent relationships Oversees a personal sales and retention goal in addition to managing a team of sales and retention associates Participates in performance management and the overall small group production goals Ensures timely and accurate completion of all internal and external business documentation, applications and process Promotes the value, benefits and brand attributes to the marketplace and community to help support the organizations reputation, mission and all sales and retention efforts Manages the relationship and coordinates the exchange of information and communicates the importance of accountability to internal and external business partners Maintains timely and accurate recordings of sales activities and clients interactions in the CRM on a regular and consistent basis Facilitates the initial and ongoing training for general agents that achieve measurable results Seeks, supports and helps facilitate individual and large group sales opportunities where appropriate for the organization Works directly with Operations, and Marketing with support from sales management Oversees resolution of items Attends group sponsored open enrollment, health fairs and broker/GA events Performs miscellaneous duties as assigned Required Skills Bachelor's Degree or equivalent experience 4+ years of sales, marketing, underwriting or related business experience 5+ years of experience in employee benefit programs Insurance license Excellent active listening skills; Solid written communication skills in formal and informal settings Strong presentation skills Ability to interact well with co-workers and outside contacts Ability to respond to multiple tasks and leadership direction while balancing competing demands Exhibits strong leadership by including appropriate people in decision making process Understands group dental healthcare terminology Strong analytical and problem-solving skills to quickly and effectively facilitate customer problem resolution Proven commitment to excellence in customer service. Exhibits strong follow through skills. Familiarity with contracts, Evidence of Coverage and other marketing collateral   Desired Skills Established relationships with brokers and consultants Knowledge of health care marketing and broker channels

Job Description: Field Care Manager Field Care Manager Location: Tarrytown, NY Salary: $35-$40 per hour Experience: 5.0 year(s) Job Type: Temporary / Consulting Job ID: U998615       About the Opportunity A promising opportunity as a Field Care Manager awaits a dedicated healthcare professional at a recognized healthcare professional in Tarrytown, NY. In this role, the Field Care Manager will utilize the essentials of an integrated case management model that includes assessment, planning, implementation, care coordination, and monitoring. The Field Care Manager will also identify appropriate providers and facilities through the continuum of care and communicate with an interdisciplinary team to develop and maintain positive working relationships with patients, families and providers. Company Description Healthcare Facility Job Description The Field Care Manager: Collects in-depth medical, behavioral health, and psycho-social information Collaborates with interdisciplinary team to offer individualized assistance with identifying barriers and creating solutions to ensure quality patient care. Develops “individual” person-centered case management care plans that are time specific and action-oriented Explores community resources to seek alternative delivery options as indicated Monitors and evaluates the effectiveness of the case management plan Strengthens patient self-management/activation, motivation, education and enhancements of their ability to use the health care delivery system independently Engages clients in clinical and support program designed to provide assistance, education and support for clients and help clients adhere to treatment in order to promote healthy outcomes Uses motivational interviewing techniques throughout the case management process Required Skills Certification in Case Management Active New York State Registered Nurse or Social Worker license Patient-oriented Strong attention to detail 5+ years of relevant experience Basic computer proficiency Strong communication skills Ability to multitask Compassionate and empathetic Exceptional problem-solving skills Desired Skills Bachelor's Degree

Job Description: Managed Care Coordinator Managed Care Coordinator Location: Trenton, NJ Salary:  Experience: 1. year(s) Job Type: Temporary / Consulting Job ID: U1012012       About the Opportunity A New Jersey-based healthcare organization is actively seeking a new Managed Care Coordinator for a promising position with their growing staff. In this role, the Managed Care Coordinator will be responsible for supporting the Health Services and Utilization Management functions and acting as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators. Apply today! Company Description Healthcare Organization Job Description The Managed Care Coordinator will: Perform review of service requests for completeness of information, collection and transfer of non-clinical data, and acquisition of structured clinical data from physicians/patients Handle initial screening for pre-certification requests from Physicians / members via incoming calls or correspondence based on scripts and workflows, and under the oversight of clinical staff Prepare, document and route cases in appropriate system for clinical review Initiate call backs and correspondence to members and providers to coordinate and clarify benefits Review professional medical / claim policy related issues or claims in pending status Required Skills 1+ year of related work experience High School Diploma Knowledge of Medical terminology Computer savvy Solid problem solving and time management skills Exceptional phone etiquette Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills 1+ year of experience in a Customer Service or Medical Support related position College Degree Knowledge of Managed Care principles Knowledge of contracts, enrollment, billing & claims coding/processing

Job Description: Managed Care Coordinator Managed Care Coordinator Location: Mount Laurel, NJ Salary:  Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1011159       About the Opportunity A healthcare organization in New Jersey is looking to fill an immediate need with the addition of a new Managed Care Coordinator to their growing staff. In this role, the Managed Care Coordinator will be responsible for supporting the Health Services and Utilization Management functions and acting as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators. Apply today! Company Description Healthcare Organization Job Description The Managed Care Coordinator will be responsible for: Performing review of service requests for completeness of information, collection and transfer of non-clinical data, and acquisition of structured clinical data from physicians/patients Handling initial screening for pre-certification requests from physicians/members via incoming calls or correspondence based on scripts and workflows, and under the oversight of clinical staff Preparing, documenting and routing cases in appropriate system for clinical review Initiating call backs and correspondence to members and providers to coordinate and clarify benefits Reviewing professional medical/claim policy related issues or claims in pending status Required Skills 1+ year of related work experience High School Diploma Knowledge of Medical terminology Computer savvy Solid problem solving and time management skills Exceptional phone etiquette Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills 1+ year of experience in a Customer Service or Medical Support related position College Degree Knowledge of Managed Care principles Knowledge of contracts, enrollment, billing & claims coding/processing

Job Description: Care Manager (RN) Care Manager (RN) Location: Newark, NJ Salary:  Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1014505       About the Opportunity A compassionate and driven Registered Nurse (RN) is currently being sought out by a well-known managed care company in Newark for a promising opportunity on their staff as a Care Manager. In this role, the Care Manager coordinates the care and services of Long-Term Care members across the continuum of illness services Apply today! Company Description Managed Care Company Job Description The Care Manager (RN): Assesses short-term and long-term needs and establishes case management objectives Manages 75 to 100 active cases based on case intensity and acuity Oversees Utilization Management and uses prescribed criteria to provide timely, appropriate, and medically necessary service authorizations Interacts continuously with member,  family, physician(s), IDT members,  and other providers Assesses the options for care Acts as liaison and member advocate Coordinates community resources with emphasis on medical, behavioral, and social services Applies care management standards and maintains HIPAA standards Reports critical incidents and information regarding quality of care issues Required Skills Active New Jersey State Registered Nurse license 2+ years of experience in a clinical acute care position(s) 2+ years of case management experience 1+ year of experience in care/case BSN Ability to drive multiple projects Ability to multitask Healthcare Management Systems (Generic)  knowledge Proficient in Microsoft Office, particularly Excel Desired Skills Certified Case Manager Experience in in home health, physician’s office or public health Bilingual skills

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Between the adoption of electronic health records and the ICD-10 transition, the responsibilities tied to health information management jobs are evolving daily. Greater emphasis is being placed on reimbursement as claims from our aging population continue to escalate. New technology is enhancing the way we process patient data. All of these factors contribute to a boost in demand for qualified professionals who can fill HIM jobs around the country.

In the most recent report from the Bureau of Labor Statistics, health information management jobs were projected to see growth of about 21% from 2010-2020. This increase is beneficial to anyone certified in a specialty area. The major professional organizations in the field, including AHIMA, NCRA, AHDI, AAPC and HIMSS, offer a variety of credentials. Getting certified by one of them can help you stand out when you go head to head against other medical coders and cancer registrars applying for the same positions. It’s also critical to landing more advanced health information manager jobs.

Whether you’re looking for entry level health information management jobs or the perfect administrator position, you can find it here on our job board. New openings are posted daily, so save your favorite searches to hear about the